| NPI | 1740353630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 69146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99749) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-07-24 |